Organization
TAILOR MADE LOOKS INSTITUTE OF PLASTIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEDHANIE CHICHI BERHANE M.D. (SURGEON)
(404) 350-9355
Entity
Organization
Contact information
Practice address
3193 HOWELL MILL RD NW, SUITE 328, ATLANTA, GA 30327-2119
(404) 350-9355
(404) 350-9069
Mailing address
3193 HOWELL MILL RD NW, SUITE 328, ATLANTA, GA 30327-2119
(404) 350-9355
(404) 350-9069
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
20800000X
GA
Other
Enumeration date
01/27/2015
Last updated
02/02/2015
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